Individual provider · Type 1 NPI

Erin Beth Jimenez, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1386895795 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141

Mailing address

2001 Butterfield Rd, Ste 300
Downers Grove, IL 60515-1069

Other practice locations

  • 6 Neshaminy Interplex # 113, Trevose, PA 19053-6964 · (484) 498-1091

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA055366 (PA)
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1386895795

Erin Beth Jimenez, PA-C's National Provider Identifier is 1386895795, issued on Oct 3, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 12, 2018.